Kansas Deaf-Blind Forms
Please click the form name or the PDF icon to download and use the forms.
Application for Deaf-Blind Certification (pdf)
This form is the application for the Initial Certification or Re-certification for Deaf-Blind Eligibility.
Distance Mentorship Team Collaboration Site Consent Form
Deaf Blind Mentorship Consent
Application for Family Scholarship
Scholarship Application to help supplement some of the registration costs for education and training related to your child’s deaf-blindness.
Request for Technical Assistance
If your child has certain technical needs use this form to request assistance so we can effectively meet your child’s technical needs.
Informal Vision Skills Inventory
Important information to share about what things your child responds to visually and what he or she does to indicate something is seen.
Informal Functional Hearing Evalutation
The Informal Functional Hearing Evaluation (IFHE) is meant to guide the teacher in determining the impact of hearing loss on educational functioning.
Photo and Social Media Consent
Consent form for the KS Deaf-Blind Project and KSSB to use your Child’s likeness on any and all social media platforms.